August 2023 page 16
Questions and Answers
Evaluation and Management (E/M) Guidelines
Question: When is the conversation between an emergency room (ER) physician and the admitting physician counted as an element in medical
decision making (MDM) from the perspective of the ER physician?
Answer: In the “Amount and/or Complexity of Data to be Reviewed and Analyzed” section of the E/M guidelines, the definition of discussion states that the discussion is included only when it is used in the MDM of the encounter. Determination of whether a conversation
between physicians may be applied toward MDM by the ER physician depends...
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